How parentification relates to obsessive-compulsive disorder (OCD) and relationship obsessive-compulsive disorder (ROCD): the mediating role of obsessive beliefs

Abstract OCD is characterized by obsessions (intrusive thoughts, images or urges) and compulsions (repetitive behaviors or cognitive acts) to alleviate anxiety caused by the obsessions. Parentification is the phenomenon whereby parents assign adult roles to their children, expecting them to perform practical and emotional tasks. Previous research has linked parentification to both beneficial and detrimental consequences for the child. Despite previous research suggesting that parent-child interactions are a contributor to the development and persistence of obsessive tendencies, research investigating the role of parentification in OCD and the relationship obsessive-compulsive disorder (ROCD) is lacking. This study evaluates the relationship between benefits and negative aspects of parentification, OCD, and ROCD symptoms. In addition, the study examines the mediating role of obsessive beliefs in these associations. A community sample of 788 participants responded to self-report questionnaires of parentification, obsessive beliefs, OCD, and ROCD. Findings revealed that parent and sibling-focused parentification were positively associated with OCD and ROCD symptoms, whereas perceived benefits of parentification were negatively associated with OCD and ROCD. Furthermore, obsessive beliefs mediated the relationship between parentification and obsessive tendencies. Findings suggest that individuals who have undergone parentification may be more susceptible to developing maladaptive beliefs that may subsequently lead to obsessive preoccupation. The study contributes to the clarification of complex interplay between developmental factors such as parentification, cognitive factors such as obsessive beliefs, and obsessive tendencies.